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dc.contributorWichita State University. Department of Communication Sciences and Disordersen_US
dc.contributor.authorHull, Raymond H.en_US
dc.identifier.citationJournal of the American Academy of Audiology. 2005 Sep; 16(8): 596-9.en_US
dc.descriptionClick on the DOI link below to access the article (may not be free).en_US
dc.description.abstractThis case report of bilateral otitis media in a 39-year-old woman secondary to Wegener's Granulomatosis highlights, for the audiologist, the importance of being aware of some of the less common etiologies of middle ear disease. Bilateral otitis media that resists usual forms of medical treatment may represent one of the earliest signs of Wegener's Granulomatosis, a potentially life-threatening disease. According to recent literature, involvement of the ears, nose, and throat can in many instances be the only early manifestation of the disease. It is important that audiologists be aware of the early signs in order to make appropriate referral for treatment, particularly since they are usually among the first to see these patients. Early diagnosis and referral is critical since the mean survival of untreated WG is five months, with 82% of patients dying within one year, and more than 90% dying within two years. The disease involves a systemic vasculitis that may involve any organ system: however, pulmonary or renal disease appear to be among the later signs, while both middle ear and upper respiratory involvement are frequently among the earliest.en_US
dc.publisherAmerican Academy of Audiologyen_US
dc.relation.ispartofseriesJournal of The American Academy of Audiologyen_US
dc.relation.ispartofseriesJ Am Acad Audiolen_US
dc.subjectCase Reportsen_US
dc.subject.meshOtitis Media/etiologyen_US
dc.subject.meshWegener Granulomatosis/complicationsen_US
dc.subject.meshWegener Granulomatosis/diagnosisen_US
dc.subject.meshWegener Granulomatosis/therapyen_US
dc.titleAn unusual case of otitis mediaen_US
dc.description.versionpeer revieweden_US
dc.rights.holderCopyright © American Academy of Audiologyen_US

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